Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861440612 Individual Practitioner Female Practitioner

Dr. Jennifer Waller , OD

Optometrist • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jennifer Waller, OD is a certified Optometrist practicing in Springfield, IL. With approximately 28 years of clinical experience since graduating from University Of Missouri St Louis - School Of Optometry in 1998, Dr. Waller delivers high-quality medical care to the local community at 2020 W ILES AVE.

Dr. Waller is affiliated with Springfield Vision Care Associates Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused exam of visual system, photography of the retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2020 W Iles Ave

Springfield, IL 627044174

Telephone 2176983030
Fax 2176983068
Associated Practice Facility / Clinic
🏢 Prairie Eye Center, Ltd Facility NPI 1447222864

Medicare Profile & Education

Medical School

University Of Missouri St Louis - School Of Optometry

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Springfield, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
28 Yrs +5.6 yrs vs City Avg
City Avg: 22.4 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
40 Specialists

Practicing in Springfield, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
38.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Waller (28 Years) 28 Yrs
Springfield Specialty Average (22.4 Years) 22.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
61 61 $198.36 $124.16
92012 Established patient problem focused exam of visual system
43 31 $140.72 $88.30
92250 Photography of the retina
36 36 $66.08 $36.98
92004 New patient complete exam of visual system
15 15 $235.27 $147.46

Medical Specialties & State Licenses

CMS Verified: 2023-02-03
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046009087

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
046009087 (IL)
Commercial Insurance / Payer ID Railroad Medicare - Grd
410038558 (IL)
Commercial Insurance / Payer ID Railroad Medicare - Spfld
410038559 (IL)

Hospital & Practice Group Affiliations

Springfield Vision Care Associates Ltd

121 N Grand Ave W, Springfield, IL 627022562

Phone: 2175283233

Secondary Practice Locations

600 S 8th St

Benld, IL 62009

Phone: 2178357724

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
NPI 1003298803

Doctor of Optometry

NPI 1043268386

Doctor of Medicine (M.D.)

NPI 1063862266

Doctor of Optometry

NPI 1114975414

Doctor of Medicine (M.D.)

NPI 1144279498

Doctor of Medicine (M.D.)

NPI 1235440777

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address February 03, 2023

Registered at 600 S 8TH ST, BENLD, IL 620091446 (Tel: 2178357724)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2019

Optometrist (License #046009087 in IL)

NPI Profile Active September 04, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 04, 2007

Registered at 2020 W ILES AVE, SPRINGFIELD, IL 627044174 (Tel: 2176983030)

📍
Updated Business Mailing Address September 04, 2007

Registered at 2020 W ILES AVE, SPRINGFIELD, IL 627044174 (Tel: 2176983030)

👤
Provider Name / Credentials Updated September 04, 2007

Recorded as JENNIFER WALLER, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2007

Optometrist

🟢
Initial NPI Registration & Enumeration May 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861440612
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2006
Last Update: February 03, 2023
Sole Proprietor: No

Mailing Address

600 S 8th St

Benld, IL 620091446

Phone: 2178357724

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.